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General NPI Number Information
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NPI Number | 1144149477
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Entity Type | Organization
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Legal Business Name | SILOAM HEALTH SUPPORT SERVICES INC
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Dates
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Enumeration Date | 07/11/2026
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Last Update Date | 07/11/2026
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Provider Practice Location Address
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Address Line | 2936 BUCKTHORN CT
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City | GLENARDEN
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State | MD
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Zip | 20706-5517
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Country | US
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Telephone | 431-997-7220
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Fax | 800-948-9107
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Provider Business Mailing Address
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Address Line | 2936 BUCKTHORN CT
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City | GLENARDEN
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State | MD
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Zip | 20706-5517
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Country | US
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Telephone | 431-997-7220
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Fax | 800-948-9107
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Authorized Official
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Title or Position | CEO
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Name | DR. ADENIYI A ADEGBESAN
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Credential | MEDICAL DOCTOR
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Telephone | 431-997-7220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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Taxonomy #3
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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